NPI | 1639629744 |
---|---|
Doing Business As | EMPIRE DENTAL |
Entity Type | Organization |
Authorized Contact | MULUALEM TESFAYE ASSEFA Owner 703-575-8789 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401415215) |
Enumeration Date | 2016-10-12 |
Last Update Date | 2016-10-12 |